This report examines how First 5 Alameda can lead efforts to strengthen alignment and coherence across Alameda County’s early childhood mixed delivery system. As the agency administering Measure C and partnering on the Oakland Children’s Initiative, First 5 Alameda is well positioned to help build a more integrated early care and education system. The report highlights how children’s development is influenced by the broader systems around them—such as housing, health, transportation, and employment—and emphasizes the importance of coordinated policy and infrastructure in supporting family and community well-being. When these systems function effectively, they help create stable communities and support long-term economic and educational outcomes.